TIFFANY WRIGHTSMAN (NPI# 1366903767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366903767 |
| Entity Type | Individual |
| Full Name | TIFFANY WRIGHTSMAN |
| Practice Address |
1584 Hilton Ave Fairbanks AK 99701-4016 |
| Practice Telephone | 9079879267 |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2019-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | AK | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1942785464 | 05 |
| Street Address |
1584 HILTON AVE |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-4016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609231984 | Dynami Care Coordination LLC | Case Management | 1584 Hilton Ave, Fairbanks, AK 99701-4016 | 2015-12-30 |
| 1538715164 | Branching Out Supported Services LLC | Day Training, Developmentally Disabled Services | 1584 Hilton Ave, Fairbanks, AK 99701-4016 | 2019-08-09 |
| 1942785464 | Branching Out Supported Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1584 Hilton Ave, Fairbanks, AK 99701-4016 | 2018-10-01 |
| 1871952580 | Glenn Wrightsman | Case Management | 1584 Hilton Ave, Fairbanks, AK 99701-4016 | 2016-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336634757 | Blooming Hearts | Day Training/Habilitation Specialist | 201 Old Steese Hwy Ste 5, Fairbanks, AK 99701-3160 | 2018-06-27 |
| 1285100065 | Cristina Titus | Day Training/Habilitation Specialist | 201 Old Steese Hwy Ste 5, Fairbanks, AK 99701-3160 | 2018-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770108995 | Jayme Bonty | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy Ste A&b, Wasilla, AK 99654-8312 | 2020-06-12 |
| 1619596723 | Ceara Streisel | Day Training/Habilitation Specialist | 7521 Brayton Dr # Na, Anchorage, AK 99507-2667 | 2020-04-09 |
| 1861029530 | Sarah Wood | Day Training/Habilitation Specialist | 44661 Sterling Hwy Ste A, Soldotna, AK 99669-7900 | 2020-03-24 |
| 1497381180 | Eric Tyskiewicz | Day Training/Habilitation Specialist | 7521 Brayton Dr # Dra, Anchorage, AK 99507-2667 | 2020-03-13 |
| 1588296461 | Full Life LLP | Day Training/Habilitation Specialist | 12309 Gara Dr, Kodiak, AK 99615-9317 | 2020-02-07 |
| 1053942854 | Loth Sayavong | Day Training/Habilitation Specialist | 4121 Crannog St, Anchorage, AK 99502-5174 | 2020-01-30 |
| 1578109989 | Jennifer Leigh Morehouse | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy # Abc, Wasilla, AK 99654-8312 | 2019-11-20 |
| 1205471232 | Tamara Wallace | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy Ste Abc, Wasilla, AK 99654-8312 | 2019-11-13 |
| 1013488709 | Billie Jo Hansen | Day Training/Habilitation Specialist | 850 S Roberts St Ste 400, Wasilla, AK 99654-8206 | 2018-12-06 |
| 1235623794 | Brian Justin Moses | Day Training/Habilitation Specialist | 841 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2018-06-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.